Real You Plastic Surgery and Wellness, LLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

REAL YOU PLASTIC SURGERY AND WELLNESS, LLC

Practice address

48 N 1100 E Ste a
American Fork, UT 84003-2910

Phone

(801) 885-1300

NPI assigned

Aug 23, 2022

Last updated

May 16, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Elise M Mecham, MDNPI 1336402569

Title

Managing Member

Phone

(801) 756-5600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elise Michelle Mecham, M.D.

  • Plastic Surgery Physician
  • American Fork, UT
  • NPI 1336402569
  Medicare reassignment Care Compare group NPD Authorized official
• Levi Richard Kohler, NP

  • Nurse Practitioner
  • Provo, UT
  • NPI 1841748258
  Medicare reassignment Care Compare group NPD
• Lindsay Ann Nyman, FNP-BC

  • Family Nurse Practitioner
  • American Fork, UT
  • NPI 1326286774
  Medicare reassignment NPD
• Stevie-Marie Ann Mullins, PA-C

  • Physician Assistant
  • Centerville, UT
  • NPI 1760192868
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1710606975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 N 1100 E STE A",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032910",
            "telephone_number": "801-885-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 N 1100 E STE A",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032910",
            "telephone_number": "801-885-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL YOU PLASTIC SURGERY AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "MECHAM",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "801-756-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Pyne
• Mark Henry Radandt, D.C.
• Tanner Wolz Radford, CRNA
• Josette Rasmussen
• Sierra Rasmussen
• Kennedy Reay
• Redwood Therapy and Youth Services
• Kelsie Faith Reece, FNP
• Caretta Denese Reed, AMFT
• Brennan Reese

• Plastic and Reconstructive Surgery Physician in American Fork, UT
• Providers in American Fork, UT by specialty
• Plastic and Reconstructive Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.